Organization Name: | VANTAGE DME PARTNERSHIP |
NPI Number: | 1477795540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL D MOSBACHER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1217 E Dubois Ave Suite A Du Bois |
State: | PA US |
Postal Code: | 158013835 |
Phone Number: | 8143756271 |
Fax Number: | 8143756273 |
NPI Enumeration Date: | 04/03/2009 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 8000002065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |